VIVEK S RAMARATHNAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047810

License Status

EXPIRED

Business

First Name

VIVEK

Middle

Last Name

RAMARATHNAM

Suffix

Business Name

VIVEK S RAMARATHNAM MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

07/03/2007